Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRINA SERGEEVNA PETTY, PA
Active Sole ProprietorIRINA SERGEEVNA PETTY, PA is a Physician Assistant healthcare provider located in NEWARK, Ohio. NPI 1619211463 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEWARK, OH
Registration Details
- NPI Number
- 1619211463
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2012 (13.752503765295 yrs)
- Last Updated
- Apr 2, 2021
- License
-
003613 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2000 TAMARACK RDNEWARK, OH, 43055Browse OH providers · Browse ZIP 43055
- Phone
- 2205644650
- Fax
- 2205644238
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NEWARK, OH
| Name | Credential | NPI |
|---|---|---|
| MARK HACKER | P.A.-C. | 1861591836 |
| CAMERON EVANS | P.A.-C. | 1639307903 |
| RACHELLE R STEVENS | PA-C | 1689802399 |
| ALLAN RAY THOMAS | P.A. | 1437445715 |
| MR. MEDHANIE KIFLE KIFLE | PA-C | 1346685807 |
| MRS. TIFFANI LYNETTE DORN | PA-C | 1629460183 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.